Emotion Regulation as a Moderator of Two Different Treatments for Children With ODD

University of Iceland

Status: Enrolling

Conditions: Oppositional Defiant Disorder

Treatments: Behavioral: Parent Management Training; Behavioral: Tuning Your Temper

Study type: Interventional

Funder types: Other

Identifiers

NCT06194994

UI-2023-ODDEMREG

Details and patient eligibility

About

The goal of this randomized controlled trial is to is to test emotion regulation as a moderator of two different treatments for children with Oppositional Defiant Disorder (ODD). The main question it aims to answer is whether treatment gains be increased when children with ODD receive a treatment congruent with their emotion regulation skill problems. Participants will be divided into two groups based on their response patterns; a high emotion dysregulation group and a low emotion dysregulation group. Within each group, children will then be randomly assigned to either a behavioral parent training intervention or a child directed treatment involving problem solving and emotion regulation skills.

Full description

Emotion regulation has been implicated in the development of ODD. Two types of treatment are commonly used for children with ODD, behavioral parent training and child directed cognitive treatments. Parent training focuses on increasing compliance and reducing defiant behaviour while the child directed treatments focus on increasing the child's problem solving skills and emotion regulation. The investigators will assess emotion regulation and emotional lability in children diagnosed with ODD and divide them into two groups based on their response patterns; a high emotion dysregulation group and a low emotion dysregulation group. Within each group, children will then be randomly assigned to either a behavioral parent training intervention or a child directed treatment involving problem solving and emotion regulation skills, which makes it possible to assess the effects of the different interventions for the two distinct groups. Treatment effects will be assessed at pre- and post-treatment as well as at 6 and 18 month follow-up. Comorbid conditions will be tested as moderators.

Enrollment: 196 estimated patients

Sex: All

Ages: 6 to 12 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Diagnosed with Oppositional Defiant Disorder
• Icelandic speaking (child and parent/guardian)

Exclusion criteria

• IQ below 70 (full scale score)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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196 participants in 2 patient groups

Parent Training

Experimental group

Description:

Behavioral parent training intervention. Individual sessions.

Treatment:

Behavioral: Parent Management Training

Child directed treatment

Experimental group

Description:

Child directed cognitive behavioral therapy. Individual sessions.

Treatment:

Behavioral: Tuning Your Temper